| |
34 Hampton Village Plaza, St. Louis, MO 63109 | |
(314) 752-2679 | |
(314) 752-7446 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 34 Hampton Village Plaza, St. Louis, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730224478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
34 Hampton Village Plz, Saint Louis, MO 63109-2127 Ph: (314) 752-2679 | 34 Hampton Village Plaza, St. Louis, MO 63109 Ph: (314) 752-2679 |